Facial Aesthetics Market
Expected to Grow Rapidly during the Forecast Period. The following figure shows
the projected revenue growth of the global facial aesthetics market during the
2013–2020 period.
The global facial aesthetics
market was valued at $2.5 billion in 2013 and is forecast to reach $5.4 billion
by 2020, at a CAGR of 11%. Future growth will be driven by sustained economic
recovery in developed countries such as the US, aided by increasing awareness
among the general public of the facial injectables available to them. The focus
of companies such as Allergan on Direct-to-Consumer (DTC) marketing has been
effective in expanding patient demographics from exclusively wealthy
individuals to a wider range of people. Individuals born during the 1980–1994
period present a significant opportunity for companies in this market to
sustain revenue growth in the future as this demographic is seeking age
reversal techniques earlier than their predecessors. Recurring revenue from
facial injectables encourages beauty clinics and medical practitioners to continue
to recommend facial injectables such as Botox and dermal fillers to their
patients. Topical neurotoxins which are expected to be launched by early 2016
will have a significant impact on the facial aesthetics market. As patients
increasingly prefer non-invasive age reversal techniques, topical neurotoxins
will replace injectable Botox products such as Botox Cosmetic and Dysport.
Increasing job opportunities for women in developing economies such as India
and China is leading to higher disposable income which drives the demand for
facial aesthetic procedures. The global facial aesthetics market is highly
exposed to economic volatility as aesthetic procedures are elective and purely
cosmetic. These procedures lack reimbursement which is another major drawback
as any economic uncertainty or insecurity at work may result in people
refraining from opting for facial aesthetic procedures.
Allergan Dominates the Global Facial Aesthetics Market
Allergan dominates the
global facial aesthetics market with a share of 58% in 2013. The company enjoys
dominance in the Botox segment as its brand Botox Cosmetic remains the most
preferred brand worldwide, accounting for a 76% share in the global Botox
market. The company’s presence in the global dermal fillers market stood at 38%
at the end of the fiscal year ended 2013. Allergan has been able to sustain its
leadership position in both the Botox and dermal filler segments despite the
entry of new products such as Dysport in 2009 and Xeomin in 2011. The company
has invested heavily in DTC advertising in recent years which has resulted in
increasing awareness of the company’s facial aesthetic products and their
effects. The company’s DTC expense stood at $180m in 2013.
Allergan’s strong lead in
the Botox segment is expected to come under pressure once topical neurotoxins
such as RT-001 are approved in the US and rest of the world. Though this will
not occur before 2016, the expected impact of topical neurotoxins cannot be
understated.
Allergan faces increasing
competition in the dermal fillers segment with Valeant Pharmaceuticals holding
22% share in 2013. The competition is more intense in Europe where there are a
number of local dermal filler brands that compete with Allergan’s Juvéderm and
Valeant’s Restylane line of products. In Asia-Pacific, Medytox is the leader of
the Botox segment and competes with Allergan.
In April 2014, Valeant
offered to acquire Allergan in a cash and stock purchase consideration of $45.7
billion. However Allergan rejected the deal as the company focuses on its
strategy to remain independent and make acquisitions to sustain leadership
position in the global facial aesthetics market. If the deal was approved,
Valeant would have become the undisputed leader in the global Botox and dermal
fillers markets. The deal is in line with Valeant’s growth strategy to become
one of the largest drug makers in the world and will enable Valeant to be the
dominant presence in both the Botox and dermal fillers segments. The deal would
have strengthened Valeant’s market share in Botox market to 90% and in dermal
fillers market to 60%. Valeant would also have benefitted from the robust
pipeline portfolio of Allergan and the strong brand loyalty that Allergan has
enjoyed over the years for its flagship brands Botox Cosmetic and Juvéderm.
Allergan’s decision to reject the deal followed the company’s unsuccessful
efforts to convince medical device giants such as Johnson & Johnson and
Sanofi to acquire the company.
US will Continue to be the Largest Market for Facial
Aesthetics
The US market for facial
aesthetics was valued at $1 billion in 2013 and is forecast to reach $2.5
billion by 2020 at a CAGR of 10%. According to the American Society of
Aesthetic Plastic Surgery, the frequency of facial aesthetic procedures grew by
21% in 2013 (ASAPS, 2013). The growth of the US facial aesthetics market has
been increasing steadily in line with the sustained recovery of the US economy
since 2010. The US market grew at 22% in 2012 followed by 21% in 2013. The
number of Botox procedures grew by 15.6% in 2013 and the number of Hyaluronic
Acid (HA) filler procedures grew by 31%.
Botox Cosmetic, Dysport and
Xeomin are the only Botox products approved by the US Food and Drug
Administration (FDA). Xeomin was able to join the US market after the
completion of its injunction in 2013 due to a lawsuit filed by Allergan. The
injunction was against Merz Aesthetics; the manufacturer of Xeomin. It has been
proven that Merz recruited Allergan’s employees and accessed confidential
information related to Botox Cosmetic. This injunction led to Xeomin being
banned from the US market for 12 months, whilst legal proceedings took place.
The US dermal fillers market is dominated by Allergan and Valeant
Pharmaceuticals. Allergan’s Botox Cosmetic and Valeant’s Restylane accounted
for more than 75% of the US dermal fillers market in 2013.
The US market accounted for
42% of the global facial aesthetics market in 2013, which is expected to
decrease to 38% by 2020. As awareness of the benefits of facial aesthetic
procedures increase in developing countries, the contribution of the rest of
the world to the global market is expected to increase accordingly. In
particular, countries such as India, Korea and China are expected to witness
rapid growth in the global facial aesthetics market by 2020.
Hyaluronic Acid Fillers the
Fastest Growing Segment due to Greater Affordability and Good Safety Profiles
HA fillers are expected to
be the fastest growing segment during the forecast period. The global market
for HA fillers was valued at $1 billion in 2013 and is expected to exceed $2.5
billion by 2020 at a CAGR of 15%. HA filler procedures have become affordable,
with many local entrants competing with the leading companies in this market.
In Europe, HA fillers are sold at half the price of HA fillers sold in the US
as there is intense competition in the market. Europe has many players,
particularly in the dermal fillers segment, which has led to increasing
competition driving down prices.
HA fillers are associated
with good safety profiles and cause minimal patient discomfort which is the
major driver for the rapid growth of this segment. The ingredients of HA
fillers are a natural constituent of the human body as HA is responsible for
the production of collagen. Unlike polymer fillers, HA fillers are completely
biodegradable and do not contain any toxic monomers that lead to adverse
effects. Procedures using HA fillers are non-surgical as HA enters the blood
stream gradually and its effects are temporary.
Global Facial Aesthetics Market has High Exposure to
Economic Volatility
The global facial aesthetics
market is highly exposed to economic slowdown as procedures are elective and
purely cosmetic. During times of economic slowdown, there is high risk of
previous patients opting to defer facial aesthetic procedures which could
negatively impact market growth. As these procedures are cosmetic, there is no
harm if these procedures are not performed. The above figure shows how demand
for facial aesthetic procedures decreased during the economic downturn in the
US in 2008 and remained flat through to 2010. The growth in demand recovered
only when the economy demonstrated sustained recovery in 2011. In 2012 and 2013
the US market witnessed a rapid increase in line with the rebounding US
economy. This shows that facial aesthetic procedures are highly exposed to
economic uncertainties which are a major threat to leading companies such as
Allergan and Valeant in this market. As companies try to diversify into
developing economies such as India and China, which show significantly greater
potential for growth during the forecast period, the high dependence on the US
economy will remain a major threat.
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